Wright State University
College of Nursing & Health
Fall 2012
COURSE NUMBER: 7104-01 Classroom
COURSE TITLE: Advanced Physical Assessment across the Lifespan for Advanced Nursing Practice
PLACEMENT IN CURRICULUM: Master’s program
PREREQUISITE: Graduate standing or permission of instructor
CATALOG DESCRIPTION: Application of cognitive processes and psychomotor skills needed for
comprehensive health assessment. Emphasis is on health history, physical, developmental, and
nutritional assessment, and identification of common client problems across the life span.
CREDITS: 3 Credit Hours (2 hours classroom, 1 hour lab-1 lab hour = two clock hours)
COURSE FACULTY:
Brenda B. Young DNP, RN, CFNP
104 University Hall
(o)937-775-3579
(c) 513-257-1575
Office hours: by appointment or I am available in the classroom 30 minutes before class.
Virtual office hours: E-mails will be returned within 48 hours, Monday through Friday, 8 am – 4pm.
(You are responsible for daily checking the course page messages and your e-mails.)
COURSE WEBSITE:
http://pilot.wright.edu
CLASS LOCATION AND CLASS TIMES:
Lecture: Wednesdays, 5:10-7:00pm 252 MCA
Lab: 7:10-9:00pm 025 University Hall
TUESDAY December 11th – 12:00pm-2:00pm:quiz review4:00pm Room 025, University HallStandardized Patient exa 2:00pm-4:00pm comprehensive final examination
4:00pm-8:00pm Standardized Patient Lab Final
CLINICAL LAB FACULTY:
Brenda B. Young DNP, RN, CFNP
Leatha Ross MS, CRNP
Saranda Manning MS, APRN, ACNP-BC
Gail Crump MSN, CNRN, CFNP
Faculty Secretaries:
Sharon Brannon
Julie Greenup
101 UH
101 UH
PHONE:
(o) 937-775-3579
(c) 513-257-1575
(o) 937-775-3996
(c) 937-367-4681
(c) 937-974-3744
E-MAIL:
brenda.young@wright.edu
leatha.ross@wright.edu
saranda.manning@wright.edu
gail.crump@wright.edu
937.775.2576/2577 sharon.brannon@wright.edu
937.775.2576/2577 julie.greenup@wright.edu
COURSE OBJECTIVES:
1. Incorporate concepts, theories, models, and skills from physical, social, behavioral and nursing
sciences in the health assessment process.
2. Analyze the Advanced Practice Nurse’s role in health assessment.
3. Demonstrate interviewing skills and data collection techniques appropriate for the patient and the
clinical setting.
4. Demonstrate application of appropriate physical assessment techniques based on patient history.
5. Distinguish normal from abnormal findings.
6. Analyze abnormal findings as the basis of differential diagnosis.
7. Derive diagnoses and plans from a complete health assessment.
8. Analyze ethical, legal, technological, and environmental implications of health assessment for the
Advanced Practice Nurse.
9. Collaborate with other health care professionals in confirming findings.
10. Apply understanding of health care variations related to developmental, racial, ethnic and cultural
differences.
REQUIRED TEXTBOOK & MATERIALS:
1.
Bickley, Lynn S. (2009). Bates’ Guide to Physical Examination and History Taking (10th ed.).
Lippincott Williams & Wilkins. Philadelphia, PA. ISBN: 978-0-7817-8058-2
2.
Interactive Guide to Physical Examination. The Department of Family Medicine, The Ohio State
University, College of Medicine (see order form posted on course pilot website, or go to
www.familymedicine.osu.edu, click on education, then click on products. The order form is available
under the “information to order” click.).
EVALUATION METHODS:
The final grade for Nursing 7104 is determined by all forms of evaluation. To pass the course, you must
successfully complete both the didactic and clinical laboratory portions.
1. Class and lab participation 5%:
2 points (check offs) will be given each week: one point (check off) is class attendance and class
participation, one point (check off) is lab attendance and active participation in lab. Students are
expected to actively participate in all laboratory experiences and complete assignments. Case studies
and SOAP notes will be used to enhance learning. Students will show verbal and written evidence in
class and lab of having read and thoughtfully considered the learning materials. Students will contribute
to questions for discussion. PLEASE BRING YOUR OWN STETHOSCOPE TO LAB
2. Quizzes 40%
a. There will be eight paper and pencil, proctored multiple-choice quizzes.
There are no make-up quizzes.
b. Approximately 20 questions each quiz, with 1 minute per question.
c. You will have 7 days after the quiz to review the quiz with the instructor.
Page 2
3. Basic Assessment Quiz or DVD Physical Examination (see criteria located at course website).
10%
a. There will be a skills assessment quiz of basic nursing assessment techniques to be given
in Week 2. This is knowledge gained in your undergraduate assessment courses (e.g. NUR
217 and/or NUR 462 at WSU). This assessment evaluates you for a general overview of
knowledge obtained in NUR 217. You must pass this assessment quiz with a grade of
85 or higher.
b. Students who are not successful in passing the quiz with a grade of 85% or higher will be
required to submit a DVD physical examination skills assessment for the clinical
instructor to review, to be submitted by Week 6 of the quarter.
A late penalty of 10% will be deducted each week from the DVD grade for
assignments not received in by 5:00pm October 3rd (week 6)of the semester. No
videotape will be accepted after the end of week 7.
c. You must pass the Assessment quiz OR DVD physical examination with a grade of 85% or
greater to continue this course. This provides the student the opportunity to drop the
course (last day to drop with a W is October 26th) and meet with program advisor about taking
an elementary health assessment course.
4. Written Comprehensive Final Examination. 25%
There will be 100 multiple choice questions. This is a paper and pencil exam.
There is no make-up exam.
5. Standardized Patient 20% (see criteria located at course website) 20 minutes in length.
Standardized patients are individuals who will role play a medical/surgical condition. Students are
expected to perform an assessment, write a SOAP note and explain the rationale for the differential
diagnosis. There is no make-up examination. This is a test, thus you are not allowed to discuss
the case with other students.
ACADEMIC STANDARDS
Please refer to the University Student Handbook regarding Academic Dishonesty and Disruption.
Your assignments and quizzes are to be done as an individual effort. The University Guidelines for Academic
Integrity apply to all work for the class. You are responsible for knowing these policies.
 Cheating on assignments, quizzes or exams will result in a “0” on the test and an “F” for
the course.
 Confidentiality is an expectation of this course; failure to maintain lab partner
confidentiality will result in course failure.
There are no retakes or rewrites on any examinations or assignments.
Page 3
DATE
CLASS SCHEDULE and READINGS NUR 7104
(other journal articles or websites may be added, check weekly updates on Pilot)
TOPIC
READINGS
Week 1
August 29
Syllabus Review and Orientation to the course
Overview: Physical Examination and History
Taking
Required:
Bates, Chapters 1, 2
Optional:
Peabody, F. (1927). The Care of the
Clinical Reasoning, Assessment, and Recording Patient," JAMA; 88(12): 877-882.
your Findings
Baile, W., Buckman, R., Lenzi, R., Glober, G.,
Beale, E., & Kudelka, A. (2000). SPIKES-A
six-step protocol for delivering bad news:
application to the patient with cancer. The
Oncologist, 5(4), 302-11.
Coralli, C. H. (2006). Effective case
presentations – An important clinical skill
for nurse practitioners. Journal of the
American Academy of Nurse Practitioners,
18, 216-220
Week 2
September 5
Interviewing and the Health History
Beginning the Physical Examination: General
Survey, Vital Signs, and Pain
Required:
Bates Chapters 3, 4
Basic Assessment Test – 1 hour quiz in class
Quiz 1- Week 1 and 2 content
Week 3
September 12th
Week 4
September 19th
Required:
Bates Chapter 5
Behavior and Mental Status
Required:
Bates Chapter 7
OSU Video Head & Neck
The Head and Neck
1)
Quiz 2 – Week 3 and 4 content
Week 5
Sept. 26st
The Cardiovascular System
The Peripheral Vascular System
Quiz 3- Week 5 content
Required:
Bates Chapter 9, 12
OSU Video Cardiovascular
Required:
Page 4
Week 6
October 3rd
The Thorax and Lungs
Quiz 4- Week 6 content
Week 7
October 10th
Week 8
October 17
The Abdomen
Male Genitalia and Hernias
The Anus, Rectum, and Prostate
Quiz 5- Week 7& 8 content
Week 9
October 24th
Female Genitalia
The Breasts and Axillae
Week 10
October 31st
The Nervous System
Week 11
November 7th
Bates Chapter 8
OSU Video Thorax & Lungs
Required:
Bates Chapter 11
OSU Video Abdominal
Required:
Bates Chapter 13, 15
OSU Video Male Genitalia
OSU Video Anus, Rectum, Prostate
Required:
Bates Chapter 10, 14
OSU Video Female Genitalia
OSU Video Breasts and Axillae
No genitalia assessment will be
performed in lab
Required:
Bates Chapter 17
OSU Video Neurological
Quiz 6 Week 9 and 10 content
Assessment of the Musculoskeletal System
Pre-participation Sports Physical examination
Required:
Bates Chapter 16
OSU Video Musculoskeletal
Quiz 7 Week 11 content
Week 12
November 14th
The Skin, Hair, and Nails
Required:
Bates Chapter 6
COUNT YOUR BLESSINGS ONE BY ONE
Page 5
HAPPY THANKSGIVING
COUNT THEM UNTIL THE DAY IS DONE!
Week 13
November 21
Required:
Bates Chapter 18, 20
Week 14
Nov 28th
Week 15
December 5
Special Populations: Assessing Children and
the Older Adult
Quiz 8 Week 12 & 14 content
Course Wrap Up
12 noon-2:00pm quiz review
Week 16
TUESDAY
December 11
2:00pm-4:00pm
Comprehensive Final Examination
4:00pm- 8:00pm
Standardized Patient Lab Final Exam
Note:
All lectures will be covered in the Final.
NO prior questions from quizzes will
knowingly be placed on the
Comprehensive Final Exam
Page 6